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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005675
Report Date: 12/14/2022
Date Signed: 12/14/2022 01:40:08 PM


Document Has Been Signed on 12/14/2022 01:40 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:WALNUT VALLEY PRESCHOOL AND EARLY LEARNING CENTERFACILITY NUMBER:
198005675
ADMINISTRATOR:DR. JOSEPHINE KISAFACILITY TYPE:
850
ADDRESS:841 S. GLENWICK AVE.TELEPHONE:
(909) 595-1261
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY:96CENSUS: 37DATE:
12/14/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Christine GarciaTIME COMPLETED:
10:30 AM
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Case management inspection conducted by Licensing Program Analyst (LPA) Jennifer Hua. LPA met with Site Supervisor Christine Garcia. The purpose of the visit was announced. A Covid-19 risk assessment was conducted. The purpose of this visit is to follow up on the incident that was reported to the Department on 11/30/2022. It was reported that on 11/30/2022, a parent reported to the facility that their child told them that he/she was touched on the private area by another child on 11/28/2022. Site supervisor took LPA on a tour of the facility. Census was taken. LPA observed 37 children in care supervised by 6 staff.

During the visit, Interviews were conducted with staff.

Based on information received, no deficiency cited at this time.

An exit interview conducted with Site Supervisor Christine Garcia, copy of report given. Notice of Site Visit form provided and shall be posted for 30 days in an area accessible for review.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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